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maternity exam 2
test
| Question | Answer |
|---|---|
| Define Cervical dilation | enlargement and widening |
| Define effacement | cervix thins |
| define fetal station | applies as to where the fetus lies - is high; +is ready to deliver |
| What are the stages of labor? How long do they last for a primipara & a multipara? | Latent early labor 0-3. Active labor 4-8. Transition 8-10 |
| What are the 5P;s of labor? | Passenger - Passageway - Powers - Position of mom - Physiologic factors |
| what are the fetal lie? | how baby is lying, horizontal (up and down) Transverse line (crossways) |
| What is presentation? | what is coming into the pelvis first |
| What is attitude? | arms out stretch - not normal flexion normal (curled in a ball) |
| Which fetal positions are better for effective labor? | Anterior + LOA ROA easier labor Posterior - LOP ROP harder for labor |
| what are the mechanism of labor? | engagement - descent - flexion - extension - internal rotation - external rotation - restitution - expulsion |
| what other factors affect the labor process? | large head, pelvis size |
| how does the fetal head change to allow it to pass more easily through the pelvis | fontanels allows the head to get smaller and molds to pass |
| what are the s/s of labor starting? | contractions - back pain - bloody show - cervical ripening - broke water |
| define true labor | contractions get stronger - walking increases dilation |
| define flase labor | Braxton hicks contractions - irregular contractions - walking produces no change in dilation |
| what causes the cervix to open during labor? | contractions pushing the baby down |
| what are the benefits of matrnal position change in labor? | comfort - help baby to move down |
| what positions increase pelvic outlet? | squatting - labor ball |
| which positions increase the use of gravity? | anything upright |
| which positions decrease back labor? | knees to chest - mother on hands and knees moving baby closer to the front |
| what are the maternal adaptations that occur in labor? | cardiac output - increase T HR R BP and WBC N/V - Low BS |
| how does relaxation and patterned breathing effect a woman;s labor | decrease anxiety - lowers fight/flight hormones |
| what are the side effects of hyperventilation and what is the treatment? | Dizzy; light headed. Breathe into hands if paper bag not available. |
| which type of childbirth preparation methods are taught in hospital classes? | breathing patterns - partner encouraged - anesthesia |
| how can gate theory be used to decrease pain perception in labor? | distraction - massage - sensory nerves - close gate so no pain transmitted. |
Created by:
cdmcj7
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